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Morning Side Nursing Home Case Study

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Good Morning, I am writing you to bring to your attention an issue UHC is having with Morning Side Nursing Home located in Bronx, NY. The following members are enrolled in our UHC Personal Assist MLTC, authorized for long term custodial care. The facility has not been cooperating in submitting the conversion documentation to HRA for chronic care eligibility determination. I have contacted the facility’s Medicaid Coordinator Andrea Gurango since November of 2016 regarding member Kamrun Nehar and made arrangements to follow up with her in a few weeks on the status of the conversion application. From November till now I have called and sent emails to Andrea requesting status. Andrea kept forwarding my calls and emails to Norma Moreno who never

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